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Homestead_Peterson (4)
H. PREPARER 4 Preparer of the Sales Disclosure Fo-ti Title Pamela Partenheimer Mick Attorney Company Address(number and street,city,state,country,and ZIP Code) 219 N Hart St, PO Box 13, Princeton, IN 47670 I. SELLERS)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance ocument RIVER DEVELOPMENT, LLC Address(number and street) Address(number and street) 3120 EDGEWOOD RD 14:46„ City,state,and ZIP Code City,state,and ZIP Code EVANSVILLE IN 47712 4/0b Country Country ,,rr 1 VANDERBURGH 9 who knowingly and intentionally fals�i`fi value of transferred real prop ,or its or fa ifies any information required to be provided,commits a Level 5 felony. 0/). S• of S r Signature of Seller 0,9 ©y/J-4.23 Printed Name of Seller Date signed(mmlddlyyyy) Printed Name of Seller Date signed(mm/dd/yyyy) CHRISTOPHER KELLEY, MEMBER 04/13/2023 J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document JOHN PETERSON VT(f Q--1,kay t-Q, `2 0 XC )1 Q- Address(number and street) Address inumber and street) 829 E STATE ST V-9, SA-a. -Q Si- City,state,and ZIP Code state,and ZIP Code PRINCETON IN 47670 V(1 n ce-bva )1\-` 147LP-20 Country Country'. GIBSON 01 66 YES NO CONDITION YES NO CONDITION },I ❑ 1.Will this property be the buyer's primary 0 3. Homestead residence? O O 4.Solar Energy Heating or Cooling System ❑ 2. Does the buyer have a homestead to be vacated ❑ O 5.Wind Power Device for this residence? If yes,provide address: ❑ fj 6.Hydroelectric Power Device Address(number and street) ❑ Q 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county A- (3_ 05 - /03- of2' S,L 7 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of '; ACT